Individual
MRS. LARA ACEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
31719 HWY 79 SOUTH, TEMECULA, CA 92592
(951) 302-9353
(951) 302-9148
Mailing address
PO BOX 24, WILDOMAR, CA 92595-0024
(951) 541-3643
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
43638
CA
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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